Provider Demographics
NPI:1720713340
Name:PARKS, SUZAN (APRN)
Entity type:Individual
Prefix:
First Name:SUZAN
Middle Name:
Last Name:PARKS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-573-5400
Mailing Address - Fax:405-951-8849
Practice Address - Street 1:1431 24TH AVE NW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6386
Practice Address - Country:US
Practice Address - Phone:405-573-5400
Practice Address - Fax:405-951-8849
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK209286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily